Lisa Marie Bloom
Nursing in Split Rock, NY

License number
Colorado 112574
Issued Date
Sep 1, 1996
Renew Date
Sep 30, 1999
Expiration Date
Sep 30, 1999
Type
Registered Nurse
Address
Address 2
PO Box 213, Split Rock, NY 13031
Split Rock, NY
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.